Why Women Deliver At Home After Attending Three Or More Antenatal Care Visits In Sebeta Woreda Oromia Ethiopia.

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Background: Even though government of Ethiopia strives to increase quality of health care,rnmaternal death remains a big challenge. Antenatal care (ANC) visit and health facility deliveryrncare are the key interventions to reduce maternal and child death. In Ethiopia, 74% of womenrnreceived antenatal care from a skilled provider at least once for their last pregnancy, fiftyrnpercent of them (50%) were delivered by a skilled provider and 48% gave birth in healthrnfacility. So this data shows that there are still a number of women who deliver at home.rnObjective: This study aimed at to explore the reason of home delivery among womenrnattending three or more Antenatal care visits in Sebeta Hawas.rnMethod: Community based qualitative descriptive study was conducted. Ten In-depthrninterviews were conducted with women who had home delivery after attending three and morernANC visits one year preceding the study. Ten in-depth interviews were also conducted withrnSpouse, Traditional birth attendants, Women development army leaders (WDA), Medicalrndirector and health extension workers. The participants were purposively selected from Sebetarnrural kebeles .A semi structured interview guide was used to collect data. The in-depthrninterviews were tape-recorded, transcribed and then the transcripts were analyzed by usingrninductive thematic analysis method. The open code soft ware version 4.02 was used for codingrnand categorization. rnResult: Knowledge and perception related barriers(lack of knowledge, low risk perception andrnperception of bad care),culture and norm related barrier(refuse to comply on decision making,rngender role and pressure, traditional belief and practice and socio-economic inaccessibility) andrnhealth service and health care provider relate barrier were contributed for home delivery. rnConclusion and Recommendation: Despite efforts have been taken to reduce home delivery,rnvarious factors deters women from facility delivery after attending subsequent ANC visits. Itrnneeds to design strategies to improve utilization of facility delivery that focuses onrnimprovement of quality of care, and women empowerment.

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Why Women Deliver At Home After Attending Three Or More Antenatal Care Visits In Sebeta Woreda Oromia Ethiopia.

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